Therapist Self-Report of Evidence-Based Practices in Usual Care for Adolescent Behavior Problems: Factor and Construct Validity

Original Article

DOI: 10.1007/s10488-012-0442-8

Cite this article as:
Hogue, A., Dauber, S. & Henderson, C.E. Adm Policy Ment Health (2014) 41: 126. doi:10.1007/s10488-012-0442-8


This study introduces a therapist-report measure of evidence-based practices for adolescent conduct and substance use problems. The Inventory of Therapy Techniques—Adolescent Behavior Problems (ITT-ABP) is a post-session measure of 27 techniques representing four approaches: cognitive-behavioral therapy (CBT), family therapy (FT), motivational interviewing (MI), and drug counseling (DC). A total of 822 protocols were collected from 32 therapists treating 71 adolescents in six usual care sites. Factor analyses identified three clinically coherent scales with strong internal consistency across the full sample: FT (8 items; α = .79), MI/CBT (8 items; α = .87), and DC (9 items, α = .90). The scales discriminated between therapists working in a family-oriented site versus other sites and showed moderate convergent validity with therapist reports of allegiance and skill in each approach. The ITT-ABP holds promise as a cost-efficient quality assurance tool for supporting high-fidelity delivery of evidence-based practices in usual care.


Therapist-report fidelity Adolescent behavior problems Usual care Family therapy Cognitive-behavioral therapy Motivational interviewing Drug counseling 

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Aaron Hogue
    • 1
  • Sarah Dauber
    • 1
  • Craig E. Henderson
    • 2
  1. 1.Treatment Research DivisionNational Center on Addiction and Substance Abuse (CASA) at Columbia UniversityNew YorkUSA
  2. 2.Department of PsychologySam Houston State UniversityHuntsvilleUSA

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